Active NPI
Jacqueline Ryan Thrower, DMD, MS, MPA
- Orthodontics and Dentofacial Orthopedics Dentistry
- Portland, OR
National Provider Identifier
1134825896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- D11733
- Practice address
- 1820 SW Vermont St Ste O
Portland, OR 97219-1945 - Phone
- (503) 246-9802
- NPI assigned
- Feb 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | D11733 | OR | Primary |
Addresses
Primary practice location
1820 SW Vermont St Ste O
Portland, OR 97219-1945
Mailing address
4926 SW View Point Ter
Portland, OR 97239-4079
Phone (870) 830-9966
Other names 1
- Jacqueline Ryan Duncan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D11733 | OR | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Embrace Orthodontics, LLC | Current | Accepting new patients | |
| Garfinkle Orthodontics | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dental Clinic/Center
- Portland, OR
- NPI 1043149602
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Portland, OR
- NPI 1518350750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1134825896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4926 SW VIEW POINT TER",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972394079",
"telephone_number": "870-830-9966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 SW VERMONT ST STE O",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972191945",
"telephone_number": "503-246-9802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THROWER",
"first_name": "JACQUELINE",
"middle_name": "RYAN",
"name_prefix": "Dr.",
"credential": "DMD, MS, MPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-03",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "OR",
"license": "D11733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JACQUELINE",
"last_name": "DUNCAN",
"middle_name": "RYAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.